Vitamins

Multivitamins: how to choose one and what to skip

A multivitamin can fill gaps in a limited diet, but it does not replace one, and large trials have not shown that it prevents heart disease or cancer. What separates a good one from a poor one is a sensible %NRV, the right iron for you and no unnecessary mega-doses.

Fruits and vegetables arranged as a colour wheel, from red tomatoes to purple beetroot
AI-generated illustration · NutriMetrics

Quick answer

  • The NHS says most people do not need vitamin supplements if they eat a healthy, balanced diet. It does advise vitamin D in autumn and winter, folic acid before and in early pregnancy, and vitamins A, C and D for children aged 6 months to 5 years.
  • Around 100% of the NRV for most vitamins and minerals is enough. Several hundred percent adds cost, not benefit.
  • Men and post-menopausal women usually don't need iron; choose an iron-free formula unless a blood test shows you are low.
  • The US Preventive Services Task Force found insufficient evidence that multivitamins prevent heart disease or cancer, and recommends against beta-carotene and vitamin E for that purpose.
  • Many multivitamins give 5 µg of vitamin D: 100% of the NRV, but a third of EFSA's adequate intake. You may still need separate vitamin D in winter.

Key numbers

UK vitamin D advice (NHS)
10 µg/day in autumn and winter
UK vitamin B6 from supplements (NHS)
No more than 10 mg/day
UK vitamin A, food plus supplements (NHS)
No more than 1.5 mg/day
Avoid vitamin A supplements in pregnancy.
Sensible level for most nutrients
~100% NRV
Minimum for a nutrient's authorised claim
15% NRV per daily dose
Vitamin B6 safe upper level (EFSA)
12 mg/day
All sources together.
Preformed vitamin A safe upper level (EFSA)
3,000 µg/day
Folic acid before and in early pregnancy
400 µg/day

What these terms mean: NRV upper levels (NHS, EFSA) maximum levels by country daily dose

How to choose

  1. Scan the %NRV column: most lines near 100% is the sign of a balanced formula. Very high B6, vitamin A or zinc is a red flag.
  2. Iron or no iron? Iron suits women who menstruate; men and post-menopausal women usually do better without.
  3. Smoker? Avoid products with added beta-carotene.
  4. Check vitamin D and folic acid: these are the two nutrients many people need more of than a basic multi gives.
  5. Compare the price per daily dose. "Women 50+" or "energy" versions mostly differ in iron, vitamin D, caffeine or ginseng, not in quality.

Types of multivitamin compared

TypeTypical differenceGood to know
Standard adultBroad mix near 100% NRVCheck iron and vitamin D
WomenIron and folic acidSuits women who menstruate
Men / 50+Often less or no ironGood default after menopause too
“Energy” formulasHigh B vitamins, sometimes caffeine or ginsengB vitamins only reduce tiredness if you were low
GummiesFewer nutrients, sugarOften lack iron and some minerals
PrenatalFolic acid, iodine, little vitamin AUse instead of a standard multi in pregnancy

Maximum amounts per daily dose, by country

The NHS gives upper amounts from supplements; other countries set binding limits per daily dose of a product. For the nutrients where multivitamins differ most:

Maximum per daily dose of a supplement · Checked: · each row links its source
NutrientEFSA safety level (UL)United Kingdom · Guidance (NHS)Ireland · GuidanceGermany · Guidance (BfR)
Vitamin D100 µg100 µg100 µg20 µg
Vitamin B612 mg10 mg25 mg0.9 mg
Folic acid1,000 µg1,000 µg1,000 µg200 µg
Magnesium250 mg (supplements only)400 mg250 mg250 mg
Zinc25 mg25 mg25 mg6.5 mg
Selenium255 µg350 µg300 µg40 µg
Iodine600 µg500 µg600 µg100 µg

Limits are per recommended daily dose of a supplement, for adults; several countries set lower ones for children and teenagers. Inside the EU, a product lawfully sold in one country can usually be sold in another even above its limit (mutual recognition). All 7 nutrients and 13 countries →

EFSA — Overview of tolerable upper intake levels (2024)
NHS — Vitamins and minerals
Verbraucherzentrale — Höchstmengen für Vitamine und Mineralstoffe in Europa (Sept 2025)
BfR — Höchstmengenvorschläge für Nahrungsergänzungsmittel (2024)

What the evidence says

In large trials, multivitamins have not been shown to prevent cardiovascular disease, cancer or death in well-nourished adults; in 2022 the US Preventive Services Task Force called the evidence insufficient and recommended against beta-carotene and vitamin E supplements for that purpose. Where multivitamins clearly help is in filling real gaps: restricted diets, low appetite in older age, or before and during pregnancy (folic acid).

Most of the useful decisions are on the label: see how to read a supplement label and the maximum levels per country.

What the label may legally claim

Authorised claims (GB and EU registers)

  • A multivitamin has no claim of its own. Each vitamin or mineral present at 15% of the NRV or more may use its own authorised claims (for example vitamin C for the immune system, B12 for tiredness and fatigue).

Not authorised in GB or the EU

  • Preventing heart disease or cancer
  • Living longer
  • "Complete nutrition" replacing a varied diet
  • More energy if you are not deficient

How health claims work (UK & EU): health claims

Products we have checked

Label data checked by NutriMetrics for products sold in Spain and Germany. UK product checks are next. Sorted alphabetically, not ranked.

ProductPer daily doseSold inLabel
Centrum (Haleon) Centrum A–Zink1 tablet a day Vitamin D3: 5 µg Iron: 5 mg Folate: 200 µg Vitamin B12: 2.5 µg Vitamin B6: 2 mg Vitamin A: 800 µg · 25% as beta-carotene Zinc: 5 mg Germany Source
Centrum (Haleon) Centrum Generation 50+1 tablet a day Vitamin D3: 5 µg Iron: 2.1 mg Folate: 300 µg Vitamin B12: 3 µg Vitamin B6: 2.1 mg Vitamin A: 800 µg Zinc: 5 mg Germany Source
Multicentrum (Haleon) Mujer 50+1 tablet a day Vitamin D3: 15 µg Iron: 4.2 mg · ferrous fumarate Folate: 300 µg Vitamin B12: 7.5 µg Vitamin B6: 2.1 mg Vitamin A: 800 µg · 50% as beta-carotene Zinc: 5 mg · oxide Spain Source
Checked: 20 Oct 2026

Who should be careful

  • Children: keep iron-containing supplements out of reach; accidental iron overdose is dangerous for young children.
  • Pregnancy: use a prenatal product instead; avoid high-dose vitamin A.
  • Blood thinners: products with vitamin K can affect warfarin-type medicines. Smokers: avoid beta-carotene.

FAQ

Do I need a multivitamin?

Most people eating a varied diet do not. A multivitamin can help with a restricted diet, low appetite or specific life stages, but it does not replace food and has not been shown to prevent chronic disease.

Should my multivitamin contain iron?

Women who menstruate often benefit; men and post-menopausal women usually don't need it unless a blood test shows low iron.

Is more than 100% NRV better?

No. For most nutrients, more does not add benefit. For a few, such as vitamin B6, vitamin A and zinc, regular high intakes can cause harm.

Sources

  1. NHS — Do I need vitamin supplements?
  2. NHS — Vitamin A
  3. NHS — B vitamins and folic acid
  4. NHS — Vitamin D
  5. US Preventive Services Task Force — Vitamin, mineral and multivitamin supplementation to prevent cardiovascular disease and cancer (2022)
  6. NIH Office of Dietary Supplements — Multivitamin/mineral supplements fact sheet
  7. EFSA — Summary of tolerable upper intake levels (2024)
  8. European Commission — EU Register of nutrition and health claims

Information only, not medical advice. No product on this page is a paid placement.

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